Your Custom Quiz

In Lemmon 2025 et al., on synovitis severity scoring, what was the most common synovitis severity score observed during arthroscopy?

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Correct. Score 3/5 was the most frequently observed severity grade, present in 55.2% of joints.
Incorrect. The correct answer is 3/5.
Score 3/5 was the most frequently observed severity grade, present in 55.2% of joints.

🔍 Key Findings

Synovitis was present in 100% of canine stifles with CCL disease (n = 163).

The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).

Higher synovitis scores were significantly associated with:

  • Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
  • Longer duration of clinical signs (p < .001, OR = 1.27 per month)

Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.

Bucket handle meniscal tears were not associated with synovitis severity.

Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.

Lemmon

Veterinary Surgery

3

2025

Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

2025-3-VS-lemmon-1

Article Title: Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease

Journal: Veterinary Surgery

In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, which factors were associated with **fewer** postoperative complications in dogs undergoing liver mass resection?

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Correct. Both heavier dogs and specialist surgeons were associated with fewer postoperative complications.
Incorrect. The correct answer is Heavier body weight and specialist surgeon.
Both heavier dogs and specialist surgeons were associated with fewer postoperative complications.

🔍 Key Findings

  • Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
  • Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
  • Mortality rate was 6.5% overall, with no significant association with liver lobe location.
  • Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
  • Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
  • Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
  • Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
  • Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.

Moore

Veterinary Surgery

4

2023

Association between divisional location and short-term outcome of liver mass resection in 124 dogs

2023-4-VS-moore-5

Article Title: Association between divisional location and short-term outcome of liver mass resection in 124 dogs

Journal: Veterinary Surgery

In Schneider 2025 et al., on axillary LN extirpation, what percentage of removed axillary lymph nodes contained tumor-related pathology?

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Correct. This includes overt metastasis, early metastasis (HN2), and premetastatic disease (HN1) found on histopathology.
Incorrect. The correct answer is 56%.
This includes overt metastasis, early metastasis (HN2), and premetastatic disease (HN1) found on histopathology.

🔍 Key Findings

  • Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
  • Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
  • No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
  • Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
  • Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
  • Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
  • False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
  • The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.

Schneider

Veterinary Surgery

6

2025

Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

2025-6-VS-schneider-2

Article Title: Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs

Journal: Veterinary Surgery

In Downey 2023 et al., on thoracoscopic lobectomy, what was the long-term outcome for dogs that survived to discharge?

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Correct. One dog had persistent cough due to cardiac disease; others had no recurrence over a median 24 months.
Incorrect. The correct answer is One had mild persistent cough, others had no recurrence.
One dog had persistent cough due to cardiac disease; others had no recurrence over a median 24 months.

🔍 Key Findings

  • Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
  • 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
  • OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
  • Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
  • Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
  • Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
  • Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
  • Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.

Downey

Veterinary Surgery

7

2023

Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

2023-7-VS-downey-5

Article Title: Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs

Journal: Veterinary Surgery

In Cantatore 2022 et al., on transanal submucosal resection, what factor was most strongly associated with increased risk of tumor-related death?

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Correct. Recurrence was the only variable significantly associated with tumor-related death (P = .046).
Incorrect. The correct answer is Recurrence of the tumor.
Recurrence was the only variable significantly associated with tumor-related death (P = .046).

🔍 Key Findings

  • Submucosal resection via a transanal approach was associated with a low rate (1.1%) of major complications and prolonged survival across benign and malignant rectal tumors.
  • Overall recurrence rate was 21.5%, with higher recurrence in malignant tumors: 28.6% (carcinomas) and 30.4% (carcinoma in situ) vs. 13.6% (adenomas).
  • Complications (P = .032) and incomplete margins (P = .023) were independently associated with increased recurrence risk.
  • Recurrence was the only factor associated with increased risk of tumor-related death (P = .046).
  • Repeat submucosal resection was successful in 60% of dogs with recurrence, indicating feasibility of this as a salvage approach.
  • 1-, 2-, and 5-year survival rates for carcinomas were 95%, 89%, and 73%, though overall survival was significantly longer for benign tumors (P = .001).
  • Preoperative diagnostics (FNA, biopsy) were often inconsistent with final histopathology – only 64.3% biopsy agreement.
  • Presurgical imaging was not consistently performed, limiting accurate staging in many dogs.

Cantatore

Veterinary Surgery

3

2022

Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

2022-3-VS-cantatore-1

Article Title: Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study

Journal: Veterinary Surgery

In Katz 2022 et al., on meniscal flounce sign, what was the diagnostic accuracy of the sign for indicating an intact or torn meniscus during stifle arthroscopy?

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Correct. The flounce sign showed 94.6% diagnostic accuracy in identifying meniscal status.
Incorrect. The correct answer is 94.6%.
The flounce sign showed 94.6% diagnostic accuracy in identifying meniscal status.

🔍 Key Findings

  • A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
  • Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
  • Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
  • Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
  • Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
  • All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
  • Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
  • Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.

Katz

Veterinary Surgery

2

2022

The significance of the meniscal flounce sign in canine stifle arthroscopy

2022-2-VS-katz-1

Article Title: The significance of the meniscal flounce sign in canine stifle arthroscopy

Journal: Veterinary Surgery

In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, which diagnostic imaging findings were significantly more common in EBBs?

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Correct. Otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%) were significantly more common in EBBs.
Incorrect. The correct answer is Brainstem changes and otitis interna.
Otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%) were significantly more common in EBBs.

🔍 Key Findings

  • Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
  • Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
  • EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
  • Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
  • Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
  • Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
  • MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
  • Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.

Banks

Veterinary Surgery

5

2023

Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

2023-5-VS-banks-4

Article Title: Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)

Journal: Veterinary Surgery

In Cruciani 2025 et al., on portal placement, what was the primary reason for modifying the arthroscopic portal?

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Correct. Placing the portal on the same side as the lesion facilitated easier removal of osteochondral fragments.
Incorrect. The correct answer is To improve fragment access and removal.
Placing the portal on the same side as the lesion facilitated easier removal of osteochondral fragments.

🔍 Key Findings

  • Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
  • Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
  • Outcomes:
    • Good to excellent mid-to-long-term outcomes in 11/14 dogs.
    • Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
    • Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
    • No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
  • Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
  • Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
  • Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).

Cruciani

Veterinary Surgery

1

2025

A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

2025-1-VS-cruciani-3

Article Title: A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)

Journal: Veterinary Surgery

In Tobias 2022 et al., on perineal hernia repair positioning, what was the recurrence rate in dogs with prior hernia repair on the same side?

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Correct. Recurrence was highest (50%) in dogs that had previous hernia repair on the same side.
Incorrect. The correct answer is 50%.
Recurrence was highest (50%) in dogs that had previous hernia repair on the same side.

🔍 Key Findings

  • Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
  • Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
  • Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
  • Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
  • Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
  • Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
  • Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
  • Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.

Tobias

Veterinary Surgery

5

2022

Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

2022-5-VS-tobias-2

Article Title: Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome

Journal: Veterinary Surgery

In Mihara 2024 et al., on mitral valve repair in dogs, what postoperative change supported improved forward flow?

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Correct. Forward stroke volume index significantly increased from 1.5 to 2.3 mL/kg.
Incorrect. The correct answer is Increased stroke volume index.
Forward stroke volume index significantly increased from 1.5 to 2.3 mL/kg.

🔍 Key Findings

  • Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
  • MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
  • Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
  • Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
  • Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
  • The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
  • Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.

Mihara

Veterinary Surgery

3

2024

Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

2024-3-VS-mihara-5

Article Title: Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease

Journal: Veterinary Surgery

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